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ry . . BAIiTIMO1sE CI7? BF.AI.TB DLPARTIIEN? .~,~'j~~ ~ • ' dUaEAO OF ~ 11ITAL RBC4RDS ORDEH N0. 1 i~~$ ~ air._.--~..r.._ . Y.. - - _ _ _"r - - - - - - r.i.~...~.... _ . _ . ..,~rr1... ~ 6 ~ a~urw~o+eE cmr ~?ttd o~nrtrMC~r ~ _ ~ j CERTIFICATE OF DEATH ~ R'°i`'"'d / ~ 0 aerN No. ~ a o~nsEO s. w~t a oun~ a.o. «.t.r~ 18 1 . a. pu?cE oF oE/?n+ ~H s TurwrtE, MAltnnw usua t~o~+~ ~w?~«. ~«o,.a u..a~ N:wa.~:e.. ....a~«. e.~a..e.:~:.,,~ t st~r[ a oouMrr fUll NAMf OF ?+or r~ Nosnut oe ~strM~oK cti[ sr~er ~oo~tu p Wc~nora c. pT~ OR f01MN (K aAwd~ tiy 1i.a~. .~A !llRAl ad ~w w~.~71 ~ I - 3t. Joseph ~sp~tal F a m~ ~ooess A ~.o~.~ a~' ~,~:,,y Ol N~ th St• V~ O Q s. ~e s.~~ t~ s~e. ao~o ~sv.~~ a?n a~ru . w.. w. s. N... ~ 11-~1895 ~ a°'M' u°y' "a^ ~ ~o.. usu~? otcu~~noN ~c~.. ~;,e a ~e~. ino of ws~s ae ~ouster ~an~ucElsa. « ra+~a~ ~iMiii?t t~ou~mt°i» q t~ ..er? dow~ d~rip ~ d.rw~up lih. ~ ~ W if rNired) , N - i~. run~t~s wu~ i~. Mo~n+a~s w~oa~ wu~e ~o ~ a !~htur , o.~e >9monda L. /u,i.a~o /ten ~ W~ 1S. ~M D~tNMA flqf ~ U. s. AIM~ hR~7 ~.1 (YK. 110 Of 11e~e0'~11 ~1~ w0? Of dCN{ ~ lM114~ ' ~r ~ ~ ~ a 1 0 86 6 wce.t ~1. o.Le .~crme ~ ~ ~a. 1 x~ ~ 2~.~ ~ cwusE oF o~?rn , n Z DIfEASE R GONDRION DlREC1lr S Z ~ tEADINp TO OEATN '.y ~ w n dws ww +w~ Nr +~edr eI a0., .Z ~1 leil..~. mN~eww. ele. 1~ ~au 1~ ii_+~o4 OUE TO ~ 0 iwj~ry er co~wylicWie~ .6ich c~d ewi.~ ~a. x 2 Q ' AMECEOEtl~ GllSt3 ;i ~ W pISEASES OR CON~ITIONS, ~Nr, onnwG OUE TO ~ N ~~SE f0 fNf A/OYE CAYft (A~ 3tATIMG i!rt Q~ Q Z UNDERtYING CONpIT10N usT. O ~u ~ Z~ V OTMER SIGNI~IfU11 COMD'TIONS CONTRIIUTI~ ~ TO THE DEATH tur Nor e[urto to TME 4. ~ ~ O~SE~SE Ot CONOITtON CAYS~NG IT.' ~°t~ ~ uu°~sE oF a~w ~e~ ro tt.. ewa of orernna~ ~CaNana~ roR wNC~~ we~~na~ s~. ~unarsrr 3• ~ rn~tr i oe r~ar'"~i 12 19$1 rg~] • r+o ? = N u=~.. wtc~o~r w uMOEe?twa O ru?a or w~r h. .«a6er s~c w~xt ~ pl iw ~.Oy. f~..ee 1.w~.1 Q W~ TM n~~M~~ ~ ~0~. fRIR ~OCIOI~. /kM1. ~ bl~ ~ ~ f~ w W~. w Y (~1 tai) (Y~«) l~) =1~. NMItr OOQI~ ilr. NOw 0~ MINI~Y OOOII~t WHNE AT a NOT WMQE ~ WO!![ Ai WOR[ ~ ce.ti r(i) (+hi: Iaspiro M~e d.c.ased firan J11~1? 19 1~7~to 1 /haf (1) (we) losr ~ow rhe dsc~o~d diw on J~~B_______________19_Y~e~, , ond ! in (en (ou pi " rred i~0 from Iht cws~s and on the dofe staNd obovs. f ~oo~ »c. on~ s~awo "~N01~ Jtiil 19 1981 waa. aa. e. e. aiwnto~r tou?noN KWr. • w.rh 1sMN RfAOYK (~+~f~ r ~R _ ~ ~ ~10/j.~C~'ZGG /~IPJR• v`~ ~~~2. 6 l~an/i l3a,~Lf.c'~one /11 d. :a~. a?n.iro - w~e:a ~s. ~»..K.~ra ~oo~s _ . - ~ : ~ /lu o flan ond Rd. ~ vs~so . - • • `,a~ . ~v m: IN 'tHE BA1.?II~ CI'lY;=:~t.'1U 1~ ~ ~ - : f..: . _ . - ~ • ~ S + ~ ~ N'ARNING: D0 NOrI' AOCF.PT 7li~S 1AANSCRIP'F .tf~1.~'1~tE, bFFIC1A~ D$PAH'i1~IF.NTAi. 5EAL IS AIFIJ(f~ HEADON-.` -PI.BAS6 WIYI~:S~' ~'.S"tPi:~Bt.U~: . _ . . . .~}....~..s'!~+r/~'.s'~ ~ 'L~.~.~~" . - . .z~ • - , p~/~R~ ~ ~ _ , ~~i ~s ~ 3 s ~W/A~ r' Lr~_~WW'w~'"..^~~ . ~~~i- . . . . - ~ ~ ~ ~~e } . . . . . - ~ . . ' . . ~ . nr~, ~w o~ vrr~u. - ~"~tasia~ o~ ~i.~t:i~cn - _ , ~ . ~t_~ - _ _ _ - . - - _